Misty Severt Munger, FNP

Individual provider Active NPI Nurse Practitioner · Charlotte, NC

NPI 1104356393 · NPPES record last updated Feb 11, 2026

Key facts

NPI
1104356393
Entity type
Individual (NPI type 1)
Primary specialty
Nurse Practitioner 363L00000X
License
5009659 (NC)
Practice address
10616 Metromont Pkwy Ste 210
Charlotte, NC 28269-7670
Phone
(704) 774-6569
Fax
(855) 308-2340
NPI assigned
Jun 19, 2017
Sex
Female
Sole proprietor
No

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Medicare Care Compare profile

Specialty
Nurse Practitioner
Education
Other, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Lamond Family Medicine PLLC (49 clinicians)

Practice addresses (Care Compare)

10616 Metromont Pkwy
Suite 210
Charlotte, NC 28269-7656
Phone (828) 693-9199

Medicare participation

Medicare fee-for-service enrollment
Enrolled in NC
Eligible to order & refer
Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: No

Medicare enrollment records

Enrollment IDStateProvider typePAC IDDetails
I20170822001655 NC Practitioner - Nurse Practitioner 3577835883 Reassigns benefits to 1 organization

National Provider Directory

Medicare enrollment (NPD)
Yes

State licenses

LicenseStateTypeSpecialty
5009659NCMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Lamond Family Medicine, PLLC Current
since Jun 21, 2020
Accepting new patients

Locations

6051 Tyvola Glen Cir
Charlotte, NC 28217
Phone (704) 774-6569

10616 Metromont Pkwy
Ste 210
Charlotte, NC 28269
Phone (704) 774-6569

317 N King St
#A
Hendersonvlle, NC 28792
Phone (828) 693-3344

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 5009659 NC
Nurse Practitioner 363L00000X 5009659 NC Yes

Addresses

Primary practice location

10616 Metromont Pkwy Ste 210
Charlotte, NC 28269-7670

Mailing address

PO Box 360
Sylva, NC 28779-0360
Phone (888) 339-6065

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API JSON format, last updated by the provider on Feb 11, 2026.

{
    "created_epoch": "1497830400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1770768000000",
    "number": "1104356393",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 360",
            "city": "SYLVA",
            "state": "NC",
            "postal_code": "287790360",
            "telephone_number": "888-339-6065",
            "fax_number": "828-538-4441"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10616 METROMONT PKWY STE 210",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282697670",
            "telephone_number": "704-774-6569",
            "fax_number": "855-308-2340"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MUNGER",
        "first_name": "MISTY",
        "middle_name": "SEVERT",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-06-19",
        "last_updated": "2026-02-11",
        "certification_date": "2026-02-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NC",
            "license": "5009659",
            "primary": false
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "NC",
            "license": "5009659",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Charlotte, NC

All providers in Charlotte, NC · Nurse Practitioner in North Carolina

Sources for this page

Verify at the official NPI Registry.